NBCOT OTR Practice Questions and
Answers.
A client is in the recovery phase of intervention after having had an acute onset of
Guillain Barre Syndrome one month ago. The OTR advises the client that using
assistive devices will improve independence, but the client refuses to use the devices
stating: "My wife is happy to help me whenever I need it." How should the OTR respond
to the client's comment?
A. Convince the client to try at least one device
B. Discuss the comment with family members
C. Use other techniques to maximize independence -
\C. Use other techniques to maximize independence
An individual cannot independently get from a supine position to a sitting position to a
sitting position. The person has good scapular, shoulder, and elbow muscle strength.
What is the MOST APPROPRIATE recommendation for the OTR to make to improve
bed mobility?
A. Bed rail assist
B. Log roll technique
C. Roll ladder -
\C. Rope ladder
An individual who had a CVA one year ago continues to demonstrate unilateral neglect.
The individual drives daily to therapy despite several suggestions from the OTR to
discontinue this activity. The therapists has determined that the client is an unsafe
driver. What is the BEST approach for the OTR to take in this situation?
A. Report the individual to the department of motor vehicles
B. Report the information to the physician
C. Suggest that the individual attend a driver training program -
\B. Report the information to the physician
A four-year-old preschooler is referred to OT. Upon evaluation, the occupational
therapists determines that the child demonstrates age-appropriate cognitive and fine
motor skills. What would the OTR observe in the child to help make this determination?
A. Assemble a four-piece puzzle of a human body
B. Build a tower of nine cubes
C. Copy a five-cube gate block construction -
\A. Assemble a four-piece puzzle of a human body
, The OTR works on increasing extensor tone in an individual's upper extremity. What is
the MOST APPROPRIATE intervention according to the Rood approach?
A. Tendinous pressure over the insertion of the triceps
B. Maintained stretch to the triceps
C. High frequency vibration on the triceps
D. Low frequency vibration on the triceps -
\C. High frequency vibration on the triceps
A child with cerebral palsy tends to flex forward while riding adapted tricycle, even
though her lower extremities are correctly positioned. Which of the following adaptations
should the OTR recommend to BEST enable the child to maintain an upright position
while riding?
A. Raising the seat height
B. Raising the handlebars
C. Lowering the seat height
D. Lowering the handlebars -
\B. Raising the handlebars
A therapist is utilizing proprioceptive neuromuscular facilitation (PNF) to increase range
of motion (ROM) in the upper extremity of an individual recovering from a traumatic
brain injury. Upon performing a D1 pattern, the OTR feels a restriction during the ROM.
What is the MOST APPROPRIATE relaxation technique for the OTR to use according
to the PNF approach?
A. Rhythmic initiation
B. Quick stretching
C. Slow stroking
D. Rhythmic rotation -
\D. Rhythmic rotation
After a motor vehicle accident, a 23 year-old college student was in a coma for 3 weeks.
She regained consciousness and was severely confused. She frequently became
agitated for no apparent reason. Her level of agitation has recently decreased but she is
still distractible. Currently, she remains forgetful and confused, repeating the same
questions throughout the day. Her family and friends visit consistently and have asked
the OTR for an activity recommendation that they can do with the client during visiting
hours. What is the MOST APPROPRIATE activity for the OTR to recommend the
visitors complete with the individual?
A. Play a simple board game that is familiar from her childhood
B. Review the client's memory picture book of familiar people and activities
C. Play a matching card game that includes pictures of her past interests. -
\B. Review the client's memory picture book of familiar people and activities
Answers.
A client is in the recovery phase of intervention after having had an acute onset of
Guillain Barre Syndrome one month ago. The OTR advises the client that using
assistive devices will improve independence, but the client refuses to use the devices
stating: "My wife is happy to help me whenever I need it." How should the OTR respond
to the client's comment?
A. Convince the client to try at least one device
B. Discuss the comment with family members
C. Use other techniques to maximize independence -
\C. Use other techniques to maximize independence
An individual cannot independently get from a supine position to a sitting position to a
sitting position. The person has good scapular, shoulder, and elbow muscle strength.
What is the MOST APPROPRIATE recommendation for the OTR to make to improve
bed mobility?
A. Bed rail assist
B. Log roll technique
C. Roll ladder -
\C. Rope ladder
An individual who had a CVA one year ago continues to demonstrate unilateral neglect.
The individual drives daily to therapy despite several suggestions from the OTR to
discontinue this activity. The therapists has determined that the client is an unsafe
driver. What is the BEST approach for the OTR to take in this situation?
A. Report the individual to the department of motor vehicles
B. Report the information to the physician
C. Suggest that the individual attend a driver training program -
\B. Report the information to the physician
A four-year-old preschooler is referred to OT. Upon evaluation, the occupational
therapists determines that the child demonstrates age-appropriate cognitive and fine
motor skills. What would the OTR observe in the child to help make this determination?
A. Assemble a four-piece puzzle of a human body
B. Build a tower of nine cubes
C. Copy a five-cube gate block construction -
\A. Assemble a four-piece puzzle of a human body
, The OTR works on increasing extensor tone in an individual's upper extremity. What is
the MOST APPROPRIATE intervention according to the Rood approach?
A. Tendinous pressure over the insertion of the triceps
B. Maintained stretch to the triceps
C. High frequency vibration on the triceps
D. Low frequency vibration on the triceps -
\C. High frequency vibration on the triceps
A child with cerebral palsy tends to flex forward while riding adapted tricycle, even
though her lower extremities are correctly positioned. Which of the following adaptations
should the OTR recommend to BEST enable the child to maintain an upright position
while riding?
A. Raising the seat height
B. Raising the handlebars
C. Lowering the seat height
D. Lowering the handlebars -
\B. Raising the handlebars
A therapist is utilizing proprioceptive neuromuscular facilitation (PNF) to increase range
of motion (ROM) in the upper extremity of an individual recovering from a traumatic
brain injury. Upon performing a D1 pattern, the OTR feels a restriction during the ROM.
What is the MOST APPROPRIATE relaxation technique for the OTR to use according
to the PNF approach?
A. Rhythmic initiation
B. Quick stretching
C. Slow stroking
D. Rhythmic rotation -
\D. Rhythmic rotation
After a motor vehicle accident, a 23 year-old college student was in a coma for 3 weeks.
She regained consciousness and was severely confused. She frequently became
agitated for no apparent reason. Her level of agitation has recently decreased but she is
still distractible. Currently, she remains forgetful and confused, repeating the same
questions throughout the day. Her family and friends visit consistently and have asked
the OTR for an activity recommendation that they can do with the client during visiting
hours. What is the MOST APPROPRIATE activity for the OTR to recommend the
visitors complete with the individual?
A. Play a simple board game that is familiar from her childhood
B. Review the client's memory picture book of familiar people and activities
C. Play a matching card game that includes pictures of her past interests. -
\B. Review the client's memory picture book of familiar people and activities
